Attachment_5_-_Past_Performance_Questionnaire.docx

HE1280-14-R-0008 Attachment 5

PAST PERFORMANCE QUESTIONNAIRE

Sample Cover Letter for Offerors to provide to their customers and clients for past performance information.

[COMPANY LETTERHEAD (Prime or subcontractor)]

Reference Name and Address Date

SUBJECT: HE1280-14-R-0008 – Department of Defense Dependents Schools Europe (DoDDS-E) Germany and Belgium School Maintenance Program (GBSMP)

Dear _________________:

We are currently responding to the Department of Defense (DoD) Dependents Schools’ Request for Proposal/Solicitation number HE1280-14-R-0008 (as a subcontractor to______ (If applicable)). The purpose of this contract is to provide Custodial, Grounds Maintenance, and/or Facilities Maintenance services to all of DoDDS-E schools and administrative offices located in Germany and Belgium.

There is an increased emphasis on past performance in the federal source selection process. DoDDS-E is requesting that customers and clients of the offeror provide the information as described within the attached questionnaire and return it to them for evaluation. We have identified you as one of our references and respectfully request that you complete Section 3 and sign the attached questionnaire and return it to DoDDS-E.

Questionnaires are due to DoDDS-E no later than the proposal due date, 2 September 2014; however, we would appreciate an earlier response if at all possible. Questionnaires received after the due date may not be considered.

Note: In the event that the proposal due date is extended all questionnaires shall be submitted by the revised due date, which will be identified via solicitation amendment.

We sincerely appreciate your cooperation in this matter.

Sincerely, DEPARTMENT OF DEFENSE

DEPENDENTS SCHOOLS

OFFICE OF THE DIRECTOR, EUROPE

UNIT 29649, Box 7000

APO AE 09002-7000

SUBJECT: Solicitation HE1280-14-R-0008 – DoDDS-E Germany and Belgium School Maintenance Program (GBSMP), Past Performance Questionnaire

To Whom It May Concern:

The Department of Defense Dependents Schools Europe (DoDDS-E) very much appreciates your time and thoughtfulness in completing the attached questionnaire. The information obtained from this questionnaire will be utilized to evaluate the past performance of Offerors/Contractors who wish to be awarded a contract with DoDDS-E. Please be advised that neither your name, nor position or organization, will be divulged before, during or after this questionnaire has been completed.

The questionnaire is arranged by general performance areas, e.g., quality of service/performance, cost control, timeliness, management, etc. Each area consists of a few basic questions relating to these aspects of performance with regard to the Offeror/Contractor or Offeror’s major subcontractors with which you worked. Please complete the questionnaire as indicated on the form and in the English language.

Instructions for completing Past Performance Questionnaires: Section 1 of the Past Performance Questionnaire is to be completed by the Offeror/Major Subcontractor and then provided to the assessor (with this letter). The assessor, in turn, shall then verify Section I, complete Sections 2 & 3 of the questionnaire, and then submit the final document directly to the DoDDS-E Procurement Office.

Instructions for submitting Questionnaires: In an effort to expedite receipt of the requested information, the DoDDS-E Procurement Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) directly Mr. Andrew Christen at Andrew.Christen@eu.dodea.edu.

The Subject line of the e-mail shall clearly state, “Contractor Past Performance for Solicitation HE1280-14-R-0008”.

Thank you for taking the time to complete the questionnaire.

Sincerely, Andrew E. Christen Contracting Officer

SECTION 1: CONTRACTOR INFORMATION (To be filled out by the OFFEROR):

A. Contractor’s name and address:

If the above will be a Subcontractor to the Offeror under this solicitation, please provide the name of the proposing Prime contractor: ______________________________________________

B. Point of Contact:

C. Phone Number:

D. Contract Number:

E. Project Title and Detailed Description of Work performed under this project:

F. Contract and Order Type, if applicable:

|_| Requirements |_| Indefinite Delivery/Indefinite Quantity |_| Cost Reimbursement

|_| Time and Materials/Labor Hours |_| Firm Fixed Price |_| Other: _________________

H. Project Award Amount: Current/Final Project Amount:

(Base + Option Periods, if applicable)

I. Contractor being evaluated performed as the |_| Prime Contractor |_| Subcontractor |_| for D. above J. If a Prime Contractor, the type and extent of subcontracting: _____________________

K. Authorization is hereby granted to provide the information requested in this Questionnaire.

SECTION 2: PERFORMANCE INFORMATION (To be filled out by RESPONDENT):

Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. Please put your answer in the last column entitled “Answer.”

1-Unsat

Unsatisfactory Performance did not meet most contractual requirements. There were serious problems and the contractor’s correction actions were ineffective.

2-Marg

Marginal Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective or not fully implemented.

3-Neut

Neutral

No record of past performance or the record is inconclusive.

4-Sat

Satisfactory Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.

5-VGood

Very Good Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner.

6-Exc

Exceptional Performance met all contract requirements and exceeded many to the government’s benefit. Problem, if any were negligible and were resolved in a timely, highly effective manner.

Yes

No

Explanation:

f.

Has the contract been terminated for cause? If yes, please explain below.

Explanation:

g.

Has an election ever been made not to exercise an option due to Contractor’s poor performance? If yes, please explain below.

Explanation:

b.

Contractor provided on-time submittals/deliverables as required.

c.

Contractor responded timely relative to technical direction.

Customer would have no reservations in awarding another contract to the contractor. If no, please provide a brief explanation in the Remarks section.

Please rate the overall service provided by the Contractor in accordance with the definitions found on page 1 of the questionnaire.

NARRATIVE:

1) Please provide a narrative explanation for any ratings of 1or 2.

2) Please provide any general remarks.

3) Please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments, which may assist our office in evaluating performance.

SECTION 3: RATER INFORMATION (To be filled out by Respondent):

Name _______________________________________________________

Position/Title _________________________________________________

Organization _________________________________________________

Address _____________________________________________________

Telephone Number ____________________________________________

E-mail Address _______________________________________________

Signature ______________________________ Date ________________

We greatly appreciate your time in assisting us with a very important part of the source selection process. This information is considered Source Selection Sensitive and will be treated as such.

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